{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:45:52Z","timestamp":1792284352887,"version":"4.4.0"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,11]]},"abstract":"<jats:sec id=\"S1\">\n                    <jats:title>\n                      <jats:italic>Object<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>The aim of this study was to determine the risk factors associated with the development of postoperative ischemic complications after surgical revascularization used to treat pediatric patients with ischemic moyamoya disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2\">\n                    <jats:title>\n                      <jats:italic>Methods<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>The clinical, imaging, and perioperative data from 170 procedures in 90 children who underwent indirect revascularization surgery were retrospectively reviewed. To clarify the risk factors, cases with identified ischemic complications and those without such events were compared. For this study, a postoperative ischemic complication was defined as a newly developed infarction within 2 weeks after surgery, which was confirmed by follow-up imaging studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S3\">\n                    <jats:title>\n                      <jats:italic>Conclusions<\/jats:italic>\n                    <\/jats:title>\n                    <jats:p>The higher ischemic risks from surgical treatment should be considered for patients with moyamoya disease who are younger than 3 years of age and have a preoperative cerebral infarction. It is also recommended that the revascularization surgery be delayed for at least 6 weeks after the development of the previous cerebral infarction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/ped.2005.103.5.0433","type":"journal-article","created":{"date-parts":[[2010,8,27]],"date-time":"2010-08-27T06:01:51Z","timestamp":1282888911000},"page":"433-438","source":"Crossref","is-referenced-by-count":49,"title":["Risk factors for postoperative ischemic complications in patients with moyamoya disease"],"prefix":"10.3171","volume":"103","author":[{"given":"Se-Hyuk","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joong-Uhn","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kook-Hee","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae-Gon","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Seok","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Neuroradiology","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1007\/s002340050711","article-title":"Demonstration of cerebral perfusion abnormalities in moyamoya disease using susceptibility perfusion- and diffusion-weighted MRI.","volume":"41","author":"Adams","year":"1999"},{"issue":"(Suppl 2)","key":"b2","series-title":"Clin Neurol Neurosurg","doi-asserted-by":"publisher","first-page":"S11","DOI":"10.1016\/S0303-8467(97)00033-4","article-title":"Natural history of moyamoya disease: comparison of activity of daily living in surgery and non surgery groups.","volume":"99","author":"Choi","year":"1997"},{"key":"b3","series-title":"Neurosurg Clin N Am","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1016\/S1042-3680(18)30044-5","article-title":"Cerebral revascularization for moyamoya disease in children.","volume":"12","author":"Houkin","year":"2001"},{"key":"b4","series-title":"Neurol Res","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1080\/01616412.2000.11740680","article-title":"The effect of encephalo-myo-synangiosis on abnormal collateral vessels in childhood moyamoya disease.","volume":"22","author":"Irikura","year":"2000"},{"key":"b5","series-title":"Stroke","doi-asserted-by":"publisher","first-page":"1170","DOI":"10.1161\/01.STR.28.6.1170","article-title":"Effects of surgical revascularization on outcome of patients with pediatric moyamoya disease.","volume":"28","author":"Ishikawa","year":"1997"},{"key":"b6","series-title":"Neurosurgery","first-page":"1120","article-title":"The relevance of hemodynamic factors to perioperative ischemic complications in childhood moyamoya disease.","volume":"38","author":"Iwama","year":"1996"},{"issue":"(Suppl 2)","key":"b7","series-title":"Clin Neurol Neurosurg","doi-asserted-by":"publisher","first-page":"S115","DOI":"10.1016\/S0303-8467(97)00069-3","article-title":"Revascularization with split duro-encephalosynangiosis in the pediatric moyamoya disease\u2014surgical result and clinical outcome.","volume":"99","author":"Kashiwagi","year":"1997"},{"key":"b8","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"380","DOI":"10.3171\/jns.1996.85.3.0380","article-title":"Use of a split dura for revascularization of ischemic hemispheres in moyamoya disease.","volume":"85","author":"Kashiwagi","year":"1996"},{"key":"b9","series-title":"Childs Nerv Syst","first-page":"595","article-title":"Moyamoya disease in children. 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steal phenomenon associated with global hyperemia in moyamoya disease during revascularization surgery.","volume":"92","author":"Oshima","year":"2000"},{"key":"b17","series-title":"Anesth Analg","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1213\/00000539-199711000-00018","article-title":"Risk factors for neurologic deterioration after revascularization surgery in patients with moyamoya disease.","volume":"85","author":"Sakamoto","year":"1997"},{"key":"b18","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1007\/s003810050044","article-title":"Perioperative factors related to the development of ischemic complications in patients with moyamoya disease.","volume":"13","author":"Sato","year":"1997"},{"issue":"(2 Suppl Pediatrics)","key":"b19","series-title":"J Neurosurg","first-page":"142","article-title":"Long-term outcome in children with moyamoya syndrome after cranial revascularization by pial 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